HomeMy WebLinkAboutContract 54212-FP1 Fo R T WORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No: 54212 -FPI
Date Received: 12/29/2022
City Project Ns?: 101477
Regarding contract 54212 for 2018 Year 2 Contract 17 as required by the TRANSPORTATION AND
PUBLIC WORKS DEPARTMENT as approved by City Council on 06/23/2020 through M&C 20-0457 the
director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of
the Assistant Director of the Transportation & Public Works Department has accepted the project as
complete.
Original Contract Prices: $6,771,551.30
Amount of Approved Change Orders: $429,113.50 Na 5
Revised Contract Amount: $7,200,664.80
Total Cost Work Completed: $6,651,911.70
Less Deductions:
Liquidated Damages: 0 Days @$650.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $6,651,911.70
Less Previous Payments: $6,319,316.11
Final Payment Due $332,595.59
Dec 28,2022
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
Lauren Prieur(Dec 26,202216:06 CST) Dec 28,2022
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Client Department
William Johnson(De 9,202209:06CST) Dec 29,2022
Asst. City Manager Date
Comments: OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. 26 FINAL
To(011—) City of Fort Worth Invoicing Period(From-To): Invoice Date:
Nov.1 2022 Ou s Non,30 202E 12A/2022
P.O. FW020-0000004321 I—(Conwdor): Remit to(If Not Automatic Deposit):
Number. STABILE&WINN INC
Project: 101477 CenwctesCFW Vend.No.:
0000007645
City Secremry ContractN—bc,. 54212 C,nwet 2018 CIP YEAR 2 CONTRACT 17 PART 1
Number. Nome:
Application For Payment
Chang,Order Summary
Approved Change Or-ders 1.ORIGINAL CONTRACT PRICE..........................................................-S S637I,551.30
Number Additions Deletions 2.Net change by Change Orders...................................................................S S429,113.50
1 $78,670.00 $36,520.00 3.Current Contract Price(Line 1 t 2).........................................................S S7,200,664,80
2 $505,039,00 $182,400.00 4.TOTAL COMPLETED AND STORED TO DATE
3 S4,780.00 S4,780.00 (Progress Estimate,Construed..Allowance and Change Orden).......S S6,651,911.70
4 S64,324.50 S.RETAINAGE:
5 S3,791.00 S3,791.00 a. X S6,651,911.70 We,],Completed........, S
6 b. X Not Used S
7 c.Total Relninaga(Line 5a+Line 5b)................................S
8 6.Ah10UNT ELIGIBLE TO DATE(Line 4-Line 5c)..............................S S6,651,911.70
TOTALS $656,604.50 $227,491.00 7.LESS PREVIOUS PAYMENTS(Line 6 from prior Application)........S S6,319,316.11
NFTCHANGEBY $429,113.50 S.AMOUNT DUE THIS APPLICATION..................................................S S332,595.59
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress Estimate+CA+COs+Line 5 above)...............S 5548,753.10
Contractor's Cestifsention 10.CONTRACT TIIIIE;
The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days A—rdcd 450
on the City of Fort Worth Buasaw system that to the best of their lamviedge:(1)all previous progress b. Dap Added by CO 177
payments received from Owner on account ofWork done under the Convect have been applied on Total Dnys 627
amount to discharge Convectors legitimate obligations incurred in connection with Work covered by e•
prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said
Work or other ise listed in or covered by this Application for Payment sill pass to Owner at time of Da Charged
paymentfi e andelearofoll Liens,security interests and encumbronecs(except suehasare covered by d. )s627
a Bond acceptable to Owner indemnifying Owner against any such Liens,security interest or e, Days Remaining
umbrances);and(3)all Work covered by this Application for Payment is in accordance with the
Co
ntract Documents and is not de@etive.
Liquidated Damages S650.00 x day
This document has been modified from its original form as an EJCDC document and the user did not highlight the
modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
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CSC No.54212-COI
rOR_ _TWOR'I'H,: City of Fort Worth
Change Order Request
Project Name 1 2018 CIP Year 2 Contract 17 City Sec If 1 54212
Client Project#(s)l 101477-1
Project Description This is a combined street paving improvements,storm drain and water and sanitary sewer main replacements for 2018 Bond Street Reconstruction Contract
17 Project in Council District 9.
Contractorl Stabile&Winn,Inc. Change Order#1 1 Dale 2/8/2021
City Project Mgr. Mary Hanna City Inspectorl William Mattegal
Dept. Unit 1(Water) Unit 2(Sewer) Unit 3(Paving) Unit 4(Drainage) Contract Time
Totals CD
Original Contract Amount $1,675,777.50 $653,464.50 $4,217,834.30 $224,475.00 6,771,551.30 450
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,675,777.50 $653,464.50 $4,217,834.30 $224,475.00 $6,771,551.30 450
Go to ADD&DEL Tabs to Enter CO Backup $0.00 $0.00 42,150.00 0.00 $42,150.00 28
Revised Contract Amount 1,675,777.50 $653,464.50 4,259,984.30 $224,475.00 6,813,701.30 478
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00 $0.00
Additional Funding(if necessary) $42,150.00 $42,150.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.62%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $8,464,439.13
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is due to conflicts with existing street light conduits.The existing conduits for the street lighting within the roadway paving limits in Irwin St,Magnolia Ave and
Willing Ave are approx.12'deep and in conflict with the proposed paving improvements on these streets.
This change order will add a new bid item to replace the street lighting conduit and wiring by tore.It also include a renegotiated bid price for the street light conduit by open cut
since the quantity has increased significantly to warrant a revised pricing for that item.We also added a bid item for Electrical subcontractor mobilization to these new locations.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full
(both time and money)for all costs arising out of,or incidental to,the above Change Order.The Project/Program Manager signing below acknowledges that
he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements.
Contractor's Company Name Contractor Name Contract Signature Dale
Stabile&Winn,Inc. Jerry Henderson 1.24 urndrrson Fen 1q zou
Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Dale
F017,— 4b17,— •Nw Feb 17,2021
Program Manager Date Senior Capital Project Officer Date
LINE Feb 17,2021 Feb 17,2021
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
i�rsnvl nr,zrcr Feb 18,2021 Feb 18,2021
Assistant City Attorney Date Assistant City Manager Date
�n Feb 22,2021 Feb 22,2021
Council Action if required)
M&C Number N/A M&C Date Approved 0
ATTEST:ak ((
Mary J.Kayser,City Secretary
FORT NVOIi"fl_l City of Fort Worth
ter— Change Order Additions
Project Name 2018 CIP Year 2 Contract 17 City Sec# 54212
Client Project# 101477-1
Contractor Stabile&Winn,Inc. PMJ Mary Hanna Inspector William Mattegal
Change Order Submittal# 0 Dale 2 812021
AUDITIONS
ty
nit Cost ota
Conduit P ch (T)(Open Cut) Unit (Paving) LF
Conduit PVCch (B (Bore) nrt —(Paving) F —5971
I- Mobilizations for Electric Sub Contractor nrt (Paving) E ,Unit 1(Water) $0.00
Unit 2(Sewer) $0.00
Unit 3(Paving) $78,670.00
Unit 4(Drainage) $0.00
Sub Total Additions 7 7.
Change Order Additions Page 2 of 4
FuarW1ItI I City of Fort Worth
—� r— Change Order Deletions
Project Name 1 2018 CIP Year 2 Contract 17 City Sec# 54212
Client Project# 1 101477-1
Contractor Stabile&Winn,Inc. PM Mary Hanna Inspector William Matlegal
Change Order Submittal# Date 28/2021
DELETIONS
Unit Units o a
7 mt awng
ml aving 5
Unit 1(Water) $0.00
Unit 2(Sewer) $0.00
U2il3(Paving) $36,520.00
Unit 4(Drainage) i $0.00
Sub I otal Deletrons $36,120
Change Order Deletions Page 3 of 4
MISBE for this Change Order
MISBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
CSC No.54212-0O2
FO RT WO RT 1-4
--w — Change Order Request
Project Name 2018 Bond,Street Reconstruction Contract 17 City Sec No. 54212
Project No,(s)56002.0600430/0700430.001780&34018.000431-002480 City Pro.No. 101477
Project
Description Combined Street Paving and Water and Sewer Main Replacements for 2018 Bond Reconstruction Contract 17 Part 1
Coritfaclarl Stabile and Winn,Inc. Change Order 9 0 Dale: 6/30/2021
Cily Project ttigr.( Dena Johnson Cily Inspector F Aaron Yb ar ra
Phone Number: 817-392-7866 Phone Number; 817-392.8306
Dept. UNIT i Water UNIT 2 Sewer UNIT 3 Paving UNIT 4 Drainage Totals Con1factl Time
(Calenndardar Days)
Original Conlracl Amounl $1,675,777.50 $653,464,501 $4,217,834,30 V"5,001 $6,771,551.301 450
Extras to Dale 1 $0.001 $0.001 $42,150,001 $0.001 $42,150.0 28 1
Credits to Dale
Pending Change Orders(in M&C Process)
Contract Cost to Dale $1,675,777.50 $653.464.50 $4,259.984.30 $224,475,00 $6,813,701.30 478
Amount of Proposed Change Order $0,00 $109,950.00 $0.00 $212,689,00 4322,639.00 50
Revised Contract Amount $1,675,777.50 $763,414.50 $4,259,984,30 $437,164.00 $7,136,340.30 528
Orig,Funds Available for Change Orders $83,789.00 $32,673.00 $210,892.00 $22,448.001 $349,802.00
Remaining Funds Available for this CO $83,789.00 $32,673.00 $168,742.00 $22,448.00 $307,662.00
Additional Funding(if necessary) 1 $0.00 $77,277.00 $0,00 $190,241A0 $267,518.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5,39%
$8,464,439.13
JUSTIFICATI0N'(REASONS)FOR CHANGE ORDER
Change Order No.2 provides for replacement of the failed backfill material for sanitary sewer main on West
Shaw Street from Gordon Avenue to 100 feet east of West Shaw/Livingston Avenue intersection.The failed
trench has caused pavement subsidence and creating a traffic hazard.Additionally,during construction,it was
discovered that the existing storm drain was not located as shown on existing City records necessitating this
Change Order for additional storm drain improvements.
Staff concurs with the contractor's request for 50 additional calendar days for this change order.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
In lull(both lime and money)for all costs arising out of,or incidental to,the above ange Order,
Conlractor's,'Cbmpany,Hame Conlraclor Name. nl clot. nalure Dale
Stabile and Winn,Inc. Jerry Henderson
Inspector. Pr es' anager Dale
)6 6/30/2021 pa,� �a Y, 7/9/21
D¢eetor(W,al(:r Dept) Corfslruclfop: ervisor(TPW Depl): 'Dale
6/30/2021
Asslslanl:Clly;Allomey i�sslsenl.Cily Manager Date
"laff ,_.,..,_,. Ju120,2021
Ml,,k Gm 1s,zon 23,,w c m
Council Acllon.(If requlred)
M&C Number 29460 M&C Dale Approved 6122/2021
�_ 0P'T' Wb R'JC.)4 City of tort Worth
Change Order Additions
Project Name I 2018 ond,Stroal Mconstrotlon Contract 17 City Sec No, 54?.12
Project No,(s) 56002.060043010'100430.001780&34018.000431-002480 T DOE No, NIA_j City Pro.No, 1U1477
Project
Descripllon Combined Street Paving and Water and Sewer Maln Replacements for 2018 Bond Reconstruction Contract 17,part 1
Contractor LStablie and Wfnn,Inc, I Change Order 1t [— 2� Date: 6/30/2021
City Project Mgr, Dena Johnson I City Inspector Aaron Ybarra
ADDITIONS
•+. - = T.-
¶-d8 epair Trerich WIGSS�aektill UNIT 2 Sewer 11,175.001 CY 1 •126.001• 0
$ $14a,o5o,00
1 I1-39 Ill'Pavement Pulverization (UNIT 2 Sewer I - 800,001 SY 1 $9.001 $7,200,001
II.40 CEM-LIME(@ 32 LB51SY) UNIT 2 Sewer 1 16.001 TN 1 $280,001 $3,9K00
II.41 Asp all PVMT Type"D" UNIT 2 Sewer 1 800,00 SY 1 $18.76 $151000,00
1.42 IManholeAdj,.Minor UNIT 2 Sewer 1 300 EA j $600,001 $1,500,00
1_ II-_3 ITemp.Asphalt Pvmt,Repair(2"HMAC on 6"Flexbase) IUNIT 2 Sewer 1 550.001 LF 1 $30,001 $16,500,001
._ - . I I I I I I I
1 111Z ISTORM LINE GROUTING IUNfT 4 Drainage I 112,001 CY 1 $260,00j $29,120,001
1 I11-13 IPOST,CCTV INSPEC170N OF STORM LINE IUNIT 4 Drainage 1 280,001 LF 1 $10,001 $2,800,001
[I!22 REMOVE III"STORMLINE IUNIT 4 Drainage 1 65.001 LF 1 $35.0012,275.00�
III-23 REMOV 4II"STORM LINE �UNIT4 Drainage 1 104,001 LF 1 $55.001 $5,720.00
1 111.24 ICONC,ENCASEMENT FOR UTILITY PIPES IUNIT 4 Dralnage 1 2,301 CY 1 $875.001 $2,012,501
1 111.26 124"RCP,CLASS III IUNIT 4 Drainage 1 84.001 LF 1 $145.001 $12,160A01
III-26 48"RCP,CLASS ill UNIT Dralnage 1 451,00 LF 1 $394.001 $177,694,00
III 27 CONCRETE COLLAR UNIT4Dralnage 1 2.00 EA 1 $500.00 $1,000.00
III-28 ITCMPORARY ASPHALT PA ING REPAIR 'H AC ON 6' F EXB E UNIT 4 Dralnage 1 836,00 LF 1 $35,001 $18,726,00
1 1I1-29 1EXPLORATORY EXCAVATION IUNIT 4 Drainage 1 1.001 EA 1 $1,600.001 $1,600.001
1 111-30 ITRENCH SAFETY IUNIT 4 Drainage 1 636,001 LF 1 $3,001 $1,606.001
I II1'31 (EXTRA DEPTH 5'SD JUNCTION BOX IUNIT 4 Drainage 1 13,001 LF 1 $700,001 $9,100.001
1 111-32 IEXTRA DEPTH 10'INLETS IUNIT 4 Drainage j 13.001 LF 1 $850.001 $11,060,001
1 111.33 111"Pavement Pulverization IUNIT 4 Drainage 1 1050,001 SY 1 $9,001 $9,450,001
1 11I-34 ICEM-LIME(@ 32 LBSISY) IUNITA Drainage 1 17,001 TN 1 $260,001 $4,420.001
1 III-35 13"Asphalt PVMT Type"D" IUNIT 4 Drainage 1 1050,001 SY 1 $18,76) $19,687,501
1 III-36 IREMOVE T CURB INLET IUNIT 4 Dralnag8 1 3.001 EA 1 $1,200.001 $3,600,001
1 111.37 IAS-BUILT SURVEY IUNIT 4 Drainage 1 1.001 LS 1 $850,001 $850.001
I I 1 I I f 1
I
I I I i I 1 I 1
1 I I I I I I
I I I I I I I I
I I I I I
IUNIT 1 Water I
IUNIT 2 Sewer 1 $192,150A01
IUNIT 3 Paving I I
IUNIT 4 Drainage 1 $312,889.001
(Additions Sub Total 1 $505,039,00
Page 2 of 4 1.
N
.r o wr wo.> T" City of Fort Worth
Change Order Deletions
Project Name 018 bon dot reel Reoon sf ruclirin Oo nt doll I City See No, Fb4212
Project No,(s) 58002-060043010700430.001780&24018-000431.002480 0QE No. El= City Pro.No. 101477
Project Description mbined Street Paving and Water and Sewer Main Replaoements for 2018 Bond Reconstruction Contract 17•Pert'(
Contractor Stabile and Whn,Inc, - � Change order Date 1. 613012029
City Project Mgr. I Dena Johnson Cily Inspeelor Aaron Ybarra
• p��.�TIDN�
!1' - f:i� :C t; y}._-•i:l S:-• - nF,.:_.w.�9 ,.:
1 •liN. }s�
II-4 IV MANHOLE IUNIT 2 Sewer 1 2,0001 EA 1 $6,000,001 $12,000,00
II-6 R Drop MANHOLE IUNIT 2 Sewer 1 1,001 EA 1 $7..200.001 $7,200,00
II-15 18"WATERLINE LOWERING IUNIT 2 Sewer I 3.001 EA 1 $7,9KO.'01 $23,700,00
If-24 IRf;MOVE 4'SEWER VAULT IUNIT'25.ewer 1 2.001 EA 1 $500,001 111,000.00
07 I UNIT 2Snwer I 0,70761 LS 1 $40,000.001 $28,300,00
III-6 1 REMOVE:IO"CURB INLET IUNIT 4 Drainage 3MI EA 1 $1,300,001 $3,000,00
III-1216X2 BOX CUI. RT I UNIT 4Dralnage 1 135,001 LF I $360A01 $48.600,00
111-16 142"RCP,CLASS III IUNIT 4 Dralnage 1 120,001 LF I $210,00 $2151200,00
111-21 1CONSTRUCTION ALLOWANCE 1UNIT 4 Drainage 1 0,75 LS 1 $30,900XI $22,600.00
I I I I I I I
l i I I l l I I
l I I 1 I 1
I i i I I I
i
i I 1 I I I I
1
I_..._.�....I J UNIT 1 Water —�
IUNIT 2 Sewer I $82,200.00I
IUNIT 3 Paving I
IUNIT 4 Drainage, I $100,200.00�
IDefel(ons Sub Total $182,400.001
Page 3 of 4
M/WBE Breakdown for this Change Order
Total
Previous Change Orders
Total d
Contract Compliance Manager
By signing acknowledge thatl am the person responsible
forth ,monitoring and administration of this contract,including
ensming all performance and rap orti ng requirements,
Signature //lJ
Denajohnson
Name ofLmployee
Project Manager
Title
ATTEST:
Ronald 1" 1-',2lPS
Ronald Gonzales
Acting City Secretary
u
a
City of Fort Worth, Texas
Mayor and Council Communication
DATE: Tuesday, June 22, 2021 REFERENCE NO.: **M&C 21-0460
LOG NAME: 602018CIPY2C17CO2-STABILEW
SUBJECT:
(CD 9)Authorize the Execution of Change Order No. 2 in the amount of$322,639.00 and the Addition of
50 Calendar Days to a Contract with Stabile and Winn, Inc., for Combined Street Paving Improvements,
Storm Drain and Water and Sanitary Sewer Main Replacements for 2018 Bond Street Reconstruction
Contract 17 Project, for a Revised Contact Amount of$7,136,340.30 and Adopt Attached Appropriation
Ordinances
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize execution of Change Order No. 2 in the amount of$322,639.00 and the addition of 50
calendar days to City Secretary Contract No. 54212 with Stabile and Winn, Inc., for combined street
paving improvements, storm drain and water and sanitary sewer main replacements for 2018 Bond
Street Reconstruction Contract 17 and 18 project for a revised contract amount of$7,136,340.30;
2. Adopt the attached appropriation ordinance adjusting appropriations in the 2018 Bond Program
Fund in the amount of$555,811.00 by increasing appropriations in the 2018 Bond Street
Reconstruction Contract 17 and 18 project (City Project No. 101477), and decreasing appropriations
in the Street Construction/Reconstruction/Rehabilitation programmable project(City Project No.
P130001) by the same amount;
3. Adopt the attached appropriation ordinance increasing appropriations in the Water and Sewer
Capital Projects Fund in the amount of$109,950.00 transferred from available funds within the
Water and Sewer Fund for the purpose of funding the 2018 Bond Street Reconstruction Contract 17
and 18 project(City Project No. 101477); and
4. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations in the
Stormwater Capital Projects fund by increasing appropriations in the 2018 Bond Street
Reconstruction Contract 17 and 18 project (City Project No. 101477) for the amount of$212,689.00
and decreasing receipts and appropriations in the Drainage Improvements programmable project
(City Project No. P00043) by the same amount,
DISCUSSION:
On June 23, 2020, Mayor and Council Communication (M&C 20-0457)the City Council authorized a
contact with Stabile and Winn, Inc„ in the amount of$6,771,551.30 for the combined street paving
improvements, storm drain and water and sanitary sewer main replacements for 2018 Bond Street
Reconstruction Contract 17 Project.
The contract was subsequently revised by Change Order No. 1 in the amount of$42,150.00
administratively authorized February 22, 2021 that provided for the replacement of existing street light
conduits that were encountered in direct conflict during roadway reconstruction on Irwin Street, Magnolia
Avenue and Willing Avenue.
Change Order No. 2 provides for replacement of the failed backfill material for sanitary sewer main on
West Shaw Street from Gordon Avenue to 100 feet east of West Shaw/Livingston Avenue intersection.
The failed trench has caused pavement subsidence and creating a traffic hazard. Additionally, during
construction, it was discovered that the existing storm drain was not located as shown on existing City
records necessitating this Change Order for additional storm drain improvements.
Appropriations for the combined street paving improvements, storm drain and water and sanitary sewer
http://apps.cfwnet.org/ecouncil/printme.asp?id=29009&print=true&DoeType=Print 7/9/2021
I
main replacements for 2018 Bond Street Reconstruction Contract 17 Project will consist of the following:
Fund Existing Additional Project Total*
Appropriations Appropriations
2018 Bond
Program - Fund $10,793,935.00 $0.00 $10,793,935,00
34018
Storm Water
Capital Projects $711,369.00 $212,689.00 $924,058.00
Fund - 52002
Water& Sewer
Capital Projects - $7,590,363.00 $109,950.00 $7,700,313.00
Fund 56002
Project Total $19,095,667.00 $322, 339.00 $19,418,306.00
*Numbers rounded for presentation purposes.
Approval of Recommendation No. 2 would adjust appropriations between a programmable project and
convert the 2018 Bond Street Reconstruction Contract 17 and 18 project(City Project No. 101477) into a
static capital project. This action is needed as future funding for the 2018 Bond Street Reconstruction
Contract 17 and 18 project(City Project No. 101477) is anticipated from other funding sources and the
scope of this project differs from that of the current programmable project.
Business Equity: A waiver of the goal for Business Equity subcontracting requirements was requested,
and approved by the DVIN, in accordance with the applicable Ordinance, because the purchase of goods
or services is from sources where subcontracting or supplier opportunities are negligible.
This project is located in COUNCIL DISTRICT 9.
FISCAL INFORMATION/ CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget in the Water &
Sewer Fund and in the capital budget for the Drainage Improvement project within the Stormwater
Capital Projects Fund and upon approval of the above recommendations and adoption of the attached
appropriation ordinances, funds will be available in the Stormwater Capital Projects Fund and W&S
Capital Projects Fund for the 2018 Bond Yr2-Contract 17&18 project to support the approval of the above
recommendations and execution of the change order to the contract. Prior to an expenditure being
incurred, the Transportation & Public Works and Water Departments have the responsibility of verifying
the availability of funds.
FUND IDENTIFIERS (FIDs):
TO
Fund Department ccoun Project Program ctivity Budget Reference# moun
ID ID Year (Chartfield 2)
FROM
Fund Department ccoun Project Program ctivity Budget Reference # moun
ID ID Year (Chartfield 2
I
CERTIFICATIONS:
Submitted for City Manager's Office by: Dana Burghdoff (8018)
Originating Department Head: Chris Harder (5020)
Additional Information Contact: Dena Johnson (7866)
1
littp:Happs.cfwnet.org/ecouncil/printmc.asp?id=29009&print=true&DoeType=Print 7/9/2021 1
ATTACHMENTS
1. 602018CIPY2C17CO2-STABILEW FID Table (WCF 06.14.21).xlsx (CFW Internal)
2. 602018CIPY2C17CO2-STABILEW Form 1295.pdf (CFW Internal)
3. 602018CIPY2C17CO2-STABILEW funds availability.docx (CFW Internal)
4. 602018CIPY2C17CO2-STABILEW Map.pdf (Public)
5. 602018CIPY2C17CO2-STABILEW Waiver.pdf (CFW Internal)
6. 602018CIPY2C17CO2-STABILEW 34018 A021(r2)r.docx (Public)
7. 602018CIPY2C17CO2-STABILEW 52002 A021(r4)r.docx (Public)
8. 602018CIPY2C17CO2-STABILEW 56002 A021(r3).docx (Public)
9. Stabile&Winn SAM.pdf (CFW Internal)
i
http://apps.cfwnet.org/ecouncil/printmc.asp?id=29009&print=true&DoeType=Print 7/9/2021
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Signature: il�ia'�g�r��ez Signature:
Priscilla Ramirez(Jul 14,2021 16:18 CDT) S bl—\J�lAA�11X�
Email: Priscilla.Ramirez@fortworthtexas.gov Email: allison.tidwell@fortworthtexas.gov
Signature: Signature:
Email: Vania.Soto@fortworthtexas.gov Email: Norma.Sauceda@fortworthtexas.gov
Signature:
Email: cheryl.howe@fortworthtexas.gov
CSC No.54212-CO3
F0111'WORTH. City of Fort Worth
9101� Change Order Request
Project Namel 2018 CIP Year 2 Contract 17 City Sec# 1 54212
Client Project#(s)l 101477-1
Project Description This is a combined street paving improvements,storm drain and water and sanitary sewer main replacements for 2018 Bond Street Reconstruction Contract
17 Project in Council District 9.
Contractorl Stabile&Winn,Inc. Change Order#1 3 Date 6/26/2021
City Project Mgr. Mary Hanna City Inspectorl Aaron Ybarra
Dept. Unit 1(Water) Unit 2(Sewer) Unit 3(Paving) Unit 4(Drainage) Contract Time
Totals CD
Original Contract Amount $1,675,777.50 $653,464.50 $4,217,834.30 $224,475.00 $6,771,551.30 450
Extras to Date $109.950.00 $42,150.00 $212,689.00 $364,789.00 78
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,675,777.50 $763,414.50 $4,259,984.30 $437,164.00 $7,136,340.30 528
Go to ADD&DEL Tabs to Enter CO Backup $0.00 $0.00 $0.00 $0.00 0
Revised Contract Amount 1,675,777.50 $763,414.50 $437,164.00 7,136,340.30 528
Original Funds Available for Change Orders $83,789.00 $32,673.00 $210,892.00 $22,448.00 $349,802.00
Remaining Funds Available for this CO $83,789.00 $0.00 $168,742.00 $0.00 $252,531.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5.39%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+2591o) $8,464,439.13
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order includes bid items to use cement and Roadbond material in Magnolia Avenue between Buck and Forest Park instead of Cem-Lime for subgrade soil
stabilization.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full
(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below acknowledges that
he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements.
Contractors Company Name Contractor Name Contract Signature I Date
Stabile&Winn,Inc. Jerry Henderson Jul29,2021
InspectorAnspection Supervisor Date Project and Contract Compliance Manager Date
Qar_n Yharra 7/!� Owc�r. Jul 29,2021 .,, Aug 2,2021
Program Manager Dale Senior Capital Project Officer Dale
Aug 2,2021 Aug 2,2021
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
_.wren ?Ivor Aug 2,2121 Aug 3,2021
/n
Assistant City Attorney Date Assistant City Manager Date
Aug 4,2021 . ,,.,_',.,.., Aug 5,2021
Council Action ff required)
/,/ M&C Number N/A M&C Date Approved
ATTEST:�O`IaGl�l � GohzaGef
Ronald P.Gonzales(Aug 6,20211028 CDT)
Ronald P.Gonzales,Acting City Secretary
Fo it CVO RTII City of Fort Worth
T-- Change Order Additions
Project Name 2018 CIP Year 2 Contract 17 City Sec# 54212
Client Project# 101477-1
Contractor Stabile&Winn,Inc. PMI Mary Hanna Inspector Aaron Ybana
Change Order Submittal# Date 6/26/2021
ADDITIONS
HEM DESCRIPTION ULHI ty Unit Unit Cost Total
Cement( LB/ Y) Unit 3(Paving) T
RonadBond EN- ( als/Y) nil Paving) 5. AL 5.
Unit 1(Water) $0.00
Unit 2(Sewer) 50.00
Unit 3(Paving) 54,780.00
Unit4(Drainage) 50.00
bub Total A00insons 7
Change Order Additions Page 2 of 4
FuarR4nrl H City of Fort Worth
�7`r Change Order Deletions
Project Name 1 2018 CIP Year 2 Contract 17 City Sec# 54212
Client Project# 101477-1
Contractor Stabile&Winn,Inc. PM Mary Hanna Inspector Aaron Ybarra
Change Order Submittal# Date 612612021
DELE I IONS
nk Units o a
nil awng
it
Unit 1(Water) $0.00
Unit 2(Sewer) $0.00
Unit 3(Paving) 14.780.00
Unil4(Drainage) $0.00
Sub I otal Deletions 7
Change Order Deletions Page 3 of 4
MISBE for this Change Order
MISBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
CSC No.54212-CO4
FOR_ _1'WORTH,, City of Fort Worth
�01*11 � Change Order Request
Project Name 2018 CIP YEAR 2-CONTRACT 17 City Sec# 54212
Client Project#(s) 101477-Year 2 Contract 17
Project Description This is a combined street paving improvements and water and sanitary sewer main replacements project
Contractor STABILE&WINN INC Change Order# 4 J Date 1118/2021
City Project Mgr. Jose A Orozco City Inspector Aaron Ybarra
Dept. Water-Unit I Sewer-Unit II Paving-Unit III Storm-Unit IV Contract Time
Totals (CD)
Original Contract Amount $1,675,777.50 $653,464.50 $4,217,834.30 $224,475.00 $6,771,551.30 450
Extras to Date $0.00 $109,950.00 $42,150.00 $212,689.00 $364,789.00 78
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,675,777.50 $763,414.50 $4,259,9B4.30 $437,164.00 $7,136,340.30 528
Go to ADD&DEL Tabs to Enter CO Backup $0.00 $0.00 $64,324.50 $0.00 $64,324.50 15
Revsed Contract Amount $1,675,777.50 $763,414.50 $4,324,308.80 $437,164.00 $7,200,664.80 543
Original Funds Available for Change Orders $83,789.00 $32,673.00 $210,892.00 $22,448.00 $349,802.00
Remaining Funds Available for this CO $83,789.00 $0.00 $168,742.00 $0.00 $252,531.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 6.3401,
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $8,464,439.13
JUSTIFICATION(REASONS)FOR CHANGE ORDER
IN ACCORDANCE WITH THIS CHANGE ORDER,THE CONTRACTOR SHALL: Furnish all labor and material as per attached proposed Change Order.This Change
Order will adjust the scope to include the necessary bid items to remove buried Railroad ties in the pavement from an abandoned trolley system in Willing Ave from
Devitt St to Cantey St.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and
reporting requirements.
Contractor's Company Name Contractor(Name) Contract Signature Date
STABILE&WINN INC Jerry Henderson Nov 10,2021
Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date
Nov 10,2021 ,.,, Nov 10,2021
Program Manager Date Senior Capital Project Officer Date
Nov 10,2021 Nov 10,2021
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
Nov 10,2021 J.AJ�l.— Nov 10,2021
Assistant City Attorney Date Assistant City Manager Date
Nov 12,2021 Nov 13,2021
Council Action(f required)
M&C Number M&C Date Approved
0
ATTEST:
u�✓a n.6M>1
Ronald P Gonzales,Acting City Secretary
FoltrWosru City of Fort Worth
� --- Change Order Additions
Project Name 2018 CIP YEAR 2-CONTRACT 17 City Sec# 54212
Client Project# 101477-Year 2 Contract 17
Contractor STABILE&WINN INC PMJ Jose A Orozco Inspecto Aaron Yharra
Change Order Submittal# ® Date 1118/2021
ADDITIONS
nd Unit Cost I ota
Remove Railroad Ties awng- nit
I
I
I
it
Water-Unit 1 $0.00
Sewer-Unit 11 $0.00
Paving-UnitIIl W,324.50
Storm-Unit IV $0.00
Sub I otal Additions .5
Change Order Additions Page 1 of 1
rota Y City of Fort Worth
Change Order Deletions
Project Name 2018 CIP YEAR 2-CONTRACT 17 City Sec# 54212
Client Project# 101477-Year 2 Contract 17
Contractor STABILE&WI NN INC PM Jose A Orozco Inspector Aaron Ybarra
Change Order Submittal# ® Date 11/812021
DELETIONS
HEM DESCRIPTION Ul,:P I CRY Unit Unit Cost Total
Water-Unit I $0.00
Sewer-Unilll $0.00
Paving-Unit III $0.00
Stone-Unit N $0.00
Sub Total Deletions $0.00
Change Order Deletions Page 1 of 1
M/SBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CSC No.54212-CO5
ORTWORTH® City of Fort Worth
Change Order Request
Project Namel 2018 CIP Year 2-Contract 17 City Sec# 1 54212
Client Project#(s)l 101477-Year 2 Contract 17
Project This is a combined street paving improvements and water and sanitary sewer main replacements project
Description
Contractorl Stabile and Winn,Inc. Change Order#1 5 Datel 9/23/2022
City Project Mgr, Jose A Orozco City Inspectorl Aaron Ybarra
Dept. Unit 1:Water Unit 2:Sewer Unit 3:Paving Unit 4:Storm Contract Time
Totals (CD)
Original Contract Amount $1,675,777.50 $653,464.50 $4,217,834.30 $224,475.00 6,771,551.30 450
Extras to Date $0.00 $109,950.00 $106,474.50 $212,689.00 $429,113.50 93
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,675,777.50 $763,414.50 $4,324,308.80 $437,164.00 $7,200,664.80 543
Amount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 84
Revised Contract Amount $1,675,777.50 $763,414.50 $4,324,308.80 $437,164.00 $7,200,664.80 627
Original Funds Available for Change Orders $83,789.00 $32,673.00 $210,892.00 $22,448.00 $349,802.00
Remaining Funds Available for this CO $83,789.00 $0.00 $104,417.50 $0.00 $188,206.50
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 6.34%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $8,464,439.13
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order adds additional time and scope to the project to cover delays caused by several factors. The total number of days requested by the contractor was
negotiated and vetted by the project management team. Additional time approval was considered justified for the following factors:
1)12 days for Construction Allowance#2 for sub-contractor to remobilize&relocate 10 existing water services along Willing Ave-12/2/2021-12/13/2021
2)19 days for Extended cold/freezing weather days-(2021)2111-2/19&(2022)1/20,2/3,214,2123-2/25
3)11 days for additional sidewalk curb scope at 3012,3009,3008,3004,300%2940 Willing-3/18/2022-3/28/2022
4)37 days for Concrete&material supplier issues limiting Concrete delivery;reduced from 200 CY/day to 50 CY/day;Beginning 8/2021&through project end.
5)5 days for AT&T delay to adjust manhole at Willing and Bowie-6/812022-6/1512022
In total,84 Callendar Days(CD)were approved.
This change order will also add new bid item for'Remove and rest forms'at 3109 Willing as a result of changing scope to install retaining wall after the contractor installed
the forms per the original scope.It will also add a bid item to'install Railroad cross ties and Backfill'at 3121 Willing to install railroad ties per the property owner request to
match before project condition.The change order will also add new bid item'FH Stem Extension;for adjusting the existing Fire Hydrant at NE corner of Willing&Berry on a
segment of the water line that was not replaced as part of this project.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in
full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and
reporting requirements.
Contractor's Company Name Contractor(Name) Contract Signature Date
STABILL&WINN INC Jerry Henderson Sep 26,2022
Inspector/Inspection Supervisor Dale Project and Contract Compliance Manager Date
�0'• — Sep 27,2022 > A 0 a Sep 26,2022
Program Manager
g r Date Senior Capital Project Officer Date
N Sep 27,2022 Sep 29,2022
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
»ate v„u Oct 1,2022 Oct 3,2022
Assistant City Attorney Date Assistant City Manager Date
i fort worth Oct 3,2022 1,%ALV4 Oct 4,2022
Council Action if required)
M&C Number M&C Date Approved 0
ATTEST:
.TnnnMtn C./.'oodall
Jannette Goodall,City Secretary
Foerwoe'rn City of Fort Worth
Change Order Additions
Project Name 2018 CIP Year 2-Contract 17 City Sec# 54212
Client Project# 101477-Year 2 Contract 17
Contractorl Stabile and Winn,Inc. PMJ Jose A Orozco Inspector Aaron Ybarra
Change Order Submittal# OS Date 9I23I2022
AUUI I IONS
HEM DESCRIPTION utV I City Unit Unit Cost Total
Fire Hydrant Stem Extension ni a er
Remove and rest forms ni av{ng
- 7—siall Railroadcross Ties and Backfillm aving
Unit 1:Water $900.001
Unit 2:Sewer $0.00
Unit 3:Paving $2,891.00
Unit4:Storm $0.00
Sub Totallions
Change Order Additions Page 2 of 4
FORT'WORTH City of Fort Worth
— - — Change Order Deletions
Project Name 2018 CIP Year 2-Contract 17 City Sec# 1 54212
Client Project# 101477-Year 2 Contract 17
Contractor Stabile and Winn,Inc. PM Jose A Orozco Inspector Aaron Ybarra
Change Order Submittal# 05 Dale 912312022
UtLtIIUNJ
Unit Unit Cost oral
Construction Allowance ni a er
Uonstructfion Allowance n- awng
Und : at
Unit 2:Sewer $0.00
Unit 3:Paving $2,891.00
Unit 4:Storm $0.00
Sub lotaleeons
Change Order Deletions Page 3 of 4
MISBE for this Change Order
MISBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
FQ RT WORTH'
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 2018 CIP Year 2 Contract 17
CITY PROJECT NUMBER: 101477
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Open Trench 8" PVC Pressure Pipe 6,555 LF
Open Trench 1" Copper 5,000 LF
FIRE HYDRANTS: 3 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Passed
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Open Trench 8" HDPE 2,685 LF
Open Trench 4" SDR-26 463 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Passed
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORT WORTH(H)
TRANSPORTATION AND PUBLIC WORKS
September 8, 2022
Stabil & Winn, Inc
P.0 Box 79380
Saginaw,Texas 76179
RE: Acceptance Letter
Project Name: 2018 CIP Year 2 Contract 17
Project Type: Paving, storm drain, water&sewer main replacements
City Project No.: 101477
To Whom It May Concern:
On September 8, 2022 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on November 16, 2022. The final
inspection and the corrected punch list items indicate that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on November 16,
2022, which is the date of the punch list completion and will extend of two (2)years in accordance with
the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-6685.
Sincerely,
?_.A. O��
Jose Orozco P.E, Project Manager
Cc: Aaron Ybarra, Inspector
Donald Watson, Inspection Supervisor
Edwin Rodriguez, Senior Inspector
Mary Hanna P.E, Program Manager
DUNAWAY, Consultant
Stabil &Winn, Inc, Contractor
COFW, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
7
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT Bond #CA 3456047
Project: 2018 CIP Year 2, Contract 17, City Project No. 101477
To (Owner):
City of Fort Worth, Texas
200 Texas Street Contract For: See above
Ft Worth, TX 76102
Contract Date: June 23, 2020
Contractor:
Stabile & Winn, Inc.
P O Box 79380
Saginaw, TX 76179-0380
In accordance with the provision of the Contract between the Owner and the Contractor as
defined above, the
Great American Insurance Company of New York
301 E Fourth Street
Cincinnati, OH 45202
,Surety Company,
on bond of
Stabile &Winn,Inc.
P O Box 79380
Saginaw,TX 76179-0380
,Contractor ,
hereby approves of the final payment to the contractor and agrees that final payment to the
contractor shall not relieve the Surety Companies of any of their obligations to the
City of Fort Worth,Texas
200 Texas Street
Ft Worth, TX 76102
,Owner
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Companies have hereunto set their hand this 28th day of November, 2022.
Great American Insurance Company of
New York
Witness: Surety Company
F
AlvI�'
Tracy Tucker, Attorney-in-Fact
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
New York
Administrative Office:301 E 4TH STREET • CINCINNATI,OHIO 45202 • 613-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than SIX No.0 14893
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK,a corporation
organized and existing under and by virtue of the laws of the State of New York,does hereby nominate,constitute and appoint the
person or persons named below its true and lawful attorney-in-fact,for it and in its name, place and stead to execute on behalf of
the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature
thereof; provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this
authority shall not exceed the limit stated below.
Name Address Limit of Power
TRACY TUCKER STEVEN TUCKER ALL OF ALL
W.LAWRENCE BROWN BENNETT BROWN FORT WORTH, $100,000,000.00
KEVIN J. DUNN ROBERTA ERB TEXAS
This Power of Attorney revokes all previous powers issued on behalf of the attorney(s)-in-fact named above.
IN WITNESS WHEREOF,the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK has caused these presents to be signed
and attested by its appropriate officers and its corporate seal hereunto affixed this 21ST day of APRIL 1 2020
Attest GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
va
SEAL
Divisional Senior i ice President
Assistant Secreiar7,
MARK VICARIC(877-377-2405)
STATE OF OHIO,COUNTY OF HAMILTON-ss:
On this 21ST day of APRIL 2020 , before me personally appeared MARK VICARIO,to me known,
being duly sworn,deposes and says that he resides in Cincinnati, Ohio,that he is a Divisional Senior Vice President of the Bond
Division of Great American Insurance Company of New York,the Company described in and which executed the above instrument;
that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed
his name thereto by like authority.
F ,,J 1USA8 A KOH011ST
a Notary Public �]
State of Ohio
My Comm,Expires
May 18,2025
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great
American Insurance Company of New York by unanimous written consent dated May 14,2009.
RESOLVED: That the Divisional President the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisional
Assistant Vice Presidents, or any one of them, be and hereby is authorized, from time to time, to appoint one or more Attorneys-in-Fact
to execute on behalf of the Company,as surety,any and all bonds, undertakings and contracts of suretyship, or other written obligations
in the nature thereof;to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment
at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant
Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,
undertaking, contract of suretyship, or other written obligation in the nature thereof, such signature and seal when so used being hereby
adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the
Company with the same force and effect as though manually affixed.
CERTIFICATION
I,STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company of New York,do hereby certify that
the foregoing Power of Attorney and the Resolutions of the Board of Directors of May 14, 2009 have not been revoked and y"ye
now in full force and effect. $
Signed and sealed this 28th day of November 2022
4t, +�
5E.3L „
Assistant Secrelmy
S1185N(03/20I
AFFIDAVIT
STATE OF Texas
COUNTY OF Tarrant
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Jerry Henderson,
Vice President Of Stabile & Winn, Inc., known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
2018 CIP Year 2 Contract 17 - City Proje t#101477
BY
Jerry Henderson, Vice President
Subscribed and sworn before me on this date Sth of December, 2022.
DEBRA RODRIGUEZ
Notary Public
STATE OF TEXAS
+'icy � ID#13171267-2
Notary Public M Comm.Ex .Se .7.2026
Tarrant, Texas